A. A pool policy offered under the Medical Insurance Pool Act shall contain provisions under which the pool is obligated to renew the contract until the day on which the individual in whose name the contract is issued first becomes eligible for medicare coverage, except that in a family policy covering both husband and wife, the age of the younger spouse shall be used as the basis for meeting the durational requirement of this subsection.
B. The pool shall not change the rates for pool policies except on a class basis with a clear disclosure in the policy of the right of the pool to do so.
C. In the case of a small group policy, a pool policy offered under the Medical Insurance Pool Act shall provide covered family members the right to continue the policy as the named insured or through a conversion policy upon the death of the named insured or upon the divorce, annulment or dissolution of marriage or legal separation of the spouse from the named insured by election to do so within a period of time specified in the contract subject to the requirements of this section.
History: 1978 Comp., § 59A-54-16, enacted by Laws 1987, ch. 154, § 16; 2001, ch. 352, § 10; 2008, ch. 88, § 4.
The 2008 amendment, effective May 14, 2008, limited Subsection C to small group policies.
The 2001 amendment, effective June 15, 2001, substituted "Medical Insurance Pool Act" for "Comprehensive Health Insurance Pool Act" in Subsections A and C.
Structure New Mexico Statutes
Article 54 - Medical Insurance Pool
Section 59A-54-1 - Short title.
Section 59A-54-3 - Definitions.
Section 59A-54-4 - Pool created; board.
Section 59A-54-5 - Plan of operation.
Section 59A-54-6 - Notice of pool.
Section 59A-54-7 - Board; powers and duties.
Section 59A-54-7.1 - Prescription drug program; cost-sharing.
Section 59A-54-7.2 - Expansion of programs pursuant to federal law.
Section 59A-54-8 - Examination.
Section 59A-54-9 - Policy forms.
Section 59A-54-10 - Assessments.
Section 59A-54-11 - Pool administrator; selection; duties.
Section 59A-54-12 - Eligibility; policy provisions.
Section 59A-54-14 - Deductibles; coinsurance; maximum out-of-pocket payments.
Section 59A-54-15 - Dependent family member required coverage; employer responsibilities.
Section 59A-54-16 - Pool policy.
Section 59A-54-18 - Collective action.
Section 59A-54-19 - Rates; standard risk rate.